Failure to Provide Required Medicare Non-Coverage Notice at Discharge
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to provide the required Notice of Medicare Non-Coverage (NOMNC) to a resident who was being discharged from Medicare services, despite the resident having Medicare benefit days remaining at the time of discharge. Record review showed that there was no documentation in the clinical record indicating that the resident was notified of the end of Medicare coverage prior to discharge. During interviews, the Social Service Director stated that the NOMNC notice was given to the resident, but was unable to provide documentation to support this. Facility guidelines indicated that a NOMNC should have been issued in this scenario, but no such documentation was available in the resident's record.